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University of Utah Coordinator, Scheduling and Prior Authorization in Salt Lake City, Utah

Open Date 10/13/2020

Requisition Number PRN24523B

Job Title PS Coordinator, Scheduling

Working Title Coordinator, Scheduling and Prior Authorization

Job Grade C

FLSA Code Nonexempt

Patient Sensitive Job Code? Yes

Standard Hours per Week 40

Full Time or Part Time? Full Time

Shift Day

Work Schedule Summary

Monday – Friday, 8:00 am – 4:30 pm.

This position is full-time, 40 hours per week. Regular and punctual attendance is required.

VP Area U of U Health - Academics

Department 01101 - Pediatric Clinical Enterprise

Location Campus

City Salt Lake City, UT

Type of Recruitment External Posting

Pay Rate Range $12.02 - $19.22

Close Date

Open Until Filled Yes

Job Summary

The Division of Pediatric Clinical Enterprise at the University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible for obtaining prior authorization before services are rendered for requested procedures, testing, and medications. Responsibilities also include the coordination and scheduling of certain procedures and tests. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process.

A high level of computer literacy for daily navigation through multiple electronic systems, trouble shooting, and completion of tasks is necessary. This position is team-based where excellent communication and collaboration are vital components for completing responsibilities in an efficient and timely manner.

The University of Utah offers a comprehensive benefits package with excellent health care choices, retirement plans and generous paid leave time. Current benefit information is available at www.hr.utah.edu/benefits.

This position is full-time, 40 hours per week. Regular and punctual attendance is required.

Responsibilities

1.Verifies insurance eligibility, benefits, and network status.

2.Ensures accurate ICD , CPT codes and related medical records are submitted in the authorization request.

3.Obtains pre-authorization and referrals from insurance companies for diagnostic testing, procedures, treatments, and medication as ordered by healthcare providers.

4.Follows up on delayed or denied authorization requests and escalates for resolution.

5.Creates detailed documentation and maintains/stores the authorization paper trail.

6.Depending on the area of assignment, coordinates schedules for surgery and surgical procedures, testing and other services as requested and in accordance with departmental policy and procedures.

7.Effectively work with other team members in order to complete tasks efficiently and collaboratively.

8.Participates in quality improvement projects by developing data collection tools, analyzing, compiling and reporting data, and providing input to the QI process.

This job description is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Work Environment and Level of Frequency typically required

Nearly Continuously: Office environment.

Physical Requirements and Level of Frequency that may be required

Nearly Continuously: Sitting, hearing, listening, talking.

Often: Repetitive hand motion (such as typing), walking.

Seldom: Bending, reaching overhead.

Minimum Qualifications

Three years of experience working in an office or clinic, with an emphasis in scheduling, or a related area, or equivalency; and demonstrated effective communication, human relations, and computer skills required. Some areas of assignment require completion of a medical terminology course, certification related to specific area, and/or additional years of related experience.

This position is patient-sensitive and must fulfill all associated requirements. We protect our patients, coworkers, and community by requiring all patient-sensitive employees to be immunized according to CDC standards and hospital policy. Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferences

Previous experience with medical insurance, prior-authorizations and ICD / CPT Coding experience preferred.

Type Benefited Staff

Special Instructions Summary

Additional Information

The University of Utah is an Affirmative Action/Equal Opportunity employer and is committed to diversity in its workforce. In compliance with applicable federal and state laws, University of Utah policy of equal employment opportunity prohibits discrimination on the basis of race or ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity/expression, veteran’s status, status as a qualified person with a disability, or genetic information. Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities, and protected veterans are strongly encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law.

To inquire about this posting, email: employment@utah.edu or call 801-581-2300. Reasonable accommodations in the application process will be provided to qualified individuals with disabilities. To request an accommodation or for further information about University AA/EO policies, please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/ TDD ), email: oeo@umail.utah.edu .

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.This position may require the successful completion of a criminal background check and/or drug screen.

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